Price Harriet
Buckinghamshire New University, Uxbridge Campus.
Br J Nurs. 2011;20(12):721-5. doi: 10.12968/bjon.2011.20.12.721.
The high prevalence of incontinence in dementia sufferers will only increase as the population ages (Alzheimer's Society, 2007), but the evidence-based knowledge for management of these long-term disorders combined is lacking (Hägglund, 2010). Management techniques for incontinence need to be developed to ensure that dementia patients receive the best care, as current methods such as behavioural techniques may not be appropriate for people with limited cognitive function. This article will address issues that arise with current incontinence management for dementia sufferers and possible courses of action to tailor them more specifically to those people with cognitive impairment. Quite often, incontinence is just managed with incontinence pads and treatment is not discussed, which can have detrimental effects on the patient (Omli et al, 2010). Nurses have an important role in incontinence treatment and can change this misuse of incontinence pads and ensuring a holistic approach to care will help when treating a patient with dementia. Ethical and legal issues will also be discussed as they must be considered when providing holistic care.
随着人口老龄化,痴呆症患者中尿失禁的高患病率只会增加(阿尔茨海默病协会,2007年),但对于这些合并的长期疾病的管理,缺乏基于证据的知识(赫格隆德,2010年)。需要开发尿失禁管理技术,以确保痴呆症患者得到最佳护理,因为目前的方法如行为技术可能不适用于认知功能有限的人。本文将探讨当前痴呆症患者尿失禁管理中出现的问题,以及更具体地针对认知障碍患者量身定制的可能行动方案。通常,尿失禁只是用尿失禁垫来处理,而不讨论治疗方法,这可能对患者产生不利影响(奥姆利等人,2010年)。护士在尿失禁治疗中起着重要作用,可以改变这种对尿失禁垫的滥用情况,确保采用整体护理方法将有助于治疗痴呆症患者。在提供整体护理时,还将讨论伦理和法律问题,因为必须考虑这些问题。